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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JALISA BRIANNE KELLY MD
NPI 1407590722
Psychiatry & Neurology - Psychiatry in Raleigh, NC

Active since April 22, 2022PECOS Enrolled
111 SUNNYBROOK RD, RALEIGH, NC 27610(877) 223-4617 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Mar 17, 2026, Apr 10, 2024 and 1 more (4 updates tracked since 2022).

About Dr. Jalisa Brianne Kelly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JALISA BRIANNE KELLY MD (NPI 1407590722) is an individual psychiatry provider in Raleigh, North Carolina, licensed in North Carolina (2025-04096) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407590722
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JALISA BRIANNE KELLYCredential: MD
Location Address111 SUNNYBROOK RDRaleigh, NC 27610-1827
Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (252) 744-1406
Phone(877) 223-4617
Sole ProprietorNo
Enumeration DateApril 22, 2022
Last NPPES UpdateJune 18, 20264 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1407590722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 2025-04096
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
111 SUNNYBROOK RD, Raleigh, NC 27610
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jalisa Brianne Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN VERNON ROBBINS M.D.
Psychiatry & Neurology (Psychiatry)
111 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 250-1260
MARYBETH GALLAGHER
Occupational Therapist
111 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (984) 974-5300
WAKEMED
Psychiatric Hospital
111 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-8000
STEPHANIE LEE LEWALLEN-OWENS J.D., PH.D.
Psychologist (Clinical)
111 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 250-1500
MR. HAROLD O MALLETTE BS, CSAC
Counselor (Addiction (Substance Use Disorder))
111 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 747-0623
MRS. BARBARA AGNES ALTIERI CSAC
Counselor (Addiction (Substance Use Disorder))
111 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 747-0622
WAKEMED
Psychiatric Unit
111 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-8000
MR. MARTIN D WOODARD MS, LCAS
Counselor (Addiction (Substance Use Disorder))
111 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 747-0633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jalisa Kelly's NPI number?

The NPI number for Jalisa Kelly is 1407590722. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Jalisa Kelly located?

Jalisa Kelly practices at 111 Sunnybrook Rd, Raleigh, NC 27610. The listed phone number is (877) 223-4617.

What is Jalisa Kelly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jalisa Kelly enrolled in Medicare?

Yes. Jalisa Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jalisa Kelly was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.